Provider Demographics
NPI:1083825228
Name:MORTON, MARIE NEILAN (APRN-C)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:NEILAN
Last Name:MORTON
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1750
Mailing Address - Country:US
Mailing Address - Phone:973-635-2963
Mailing Address - Fax:
Practice Address - Street 1:195 COLUMBIA TPKE
Practice Address - Street 2:SUITE 105
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2254
Practice Address - Country:US
Practice Address - Phone:973-437-8300
Practice Address - Fax:973-845-2883
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00033700363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
223388522Medicare UPIN